HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.• Is- Permit Number: ):5b 7 0
RECEIVED
Building Permit Application
Planning and Development Services JUL 2 3 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34,982
Phone:(772)462-lSS3 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
At
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Address: 3100 N Al A 906
Legal Description;
Property Tex lD#: 1425.606-0040-000-0 Lot No,
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
Will
LIKE FOR LIKE CHANGE OUT 3.5 TON WATER SOURCE HEAT PUMP
7 77, 7iU 7—
7;,.
_7 ill ii ll (t 1p
AcIclitional work to be garflcirmed uncler thisp_e_r_niiY_–checK all ME appy;
RJHVAC Gas Tank MGas Piping F]Shutters Windows/Doors
11 Electric Plumbing OSprinklers 11 Generator Roof
Total Sq. Ft of Construction. Sq.Ft.of F(rst Floor:
Cost of Construction:$ Utilities;[]Sewer F–ISeptic Building Height:
Mi
Name PHILIP RETTIG Name: JOHN V LANGEL
Address:3768 DAMAS DR Company: SEACOAST A/C
City: COMMERCE TOWNSHIP MI 483$2 State:
Address: 2601 INDUSTRIAL AVE 3
Zip Code: Fax: City: FIT PIERCE State:FL
Phone No,248-701-6623 Zip code-, 34946 Fax: `166-3063
E-Mail: Phone No. 466-2400
Fill in fee simple Title Holder an next page if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
If V2IUe of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State-— City: State:
Zip: Phone: Zip:—Phone,
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address; Address:
City: City;
Zip, Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
"IlI hu e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which in conflict with anapplicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER;Your failure to Record a Notice of Commencement y r It in your paying twice for
improvements k your props rty.A Notice of Commencement must be retard and post on the Jobsite
before the firsy;nspection. 1 you tend to obtain financing,consult with e er r an attb-rnev)%efore
commencing I t 4
hbrk or recor ing v ur Notice of Commencement,
wner/Lessee Agent Signature of Contr tor/License
STAT ORIOA STATE OF F. RIDA
COU Luclc
Na
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_Signature
STATE
MT LUCIE
The forgoing instrument was acknowled,140efore me
ing ins rum t s cknowledg before me
before
day of 20 by 7by this 21 day of "Ly 243 by
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JOHN GE JOHN V LAN
{Naerson ac ledging (Na f rson ack o gi
(Sig LNatg—ry pm"� c ate of Florida)
Perso Ily K own.x_OR Produced Identification Persona y nown X OR Produced Identification
Type f tification Produced Type of Identification Produced
Commission No, (Seal) Commission No. (Seal)
To- eIW
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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